Respiratory HESI PREP Exam Questions
And Correct Revised Answers
Which trigger would the nurse instruct a client to avoid to decrease the incidence of asthma
attacks? Select all that apply.
Mold
Cold air
Pet dander
air pollution
cigarette smoke - answer✔✔all
Clients with asthma should be instructed to avoid asthma attack triggers such as mold, cold air,
pet dander, air pollution, and cigarette smoke.
When caring for a client who has had a bronchoscopy in the ambulatory surgery unit, which
action would the nurse take first?
offer ice chips to decrease throat pain
avoid turning the head from side to side
keep the client in semi fowler position
suggest medicated lozenges for sore throat - answer✔✔keep the client in semi fowlers
With the head elevated, rather than horizontal or dependent, fluid will NOT COLLECT in the
interstitial spaces around the trachea.
Because the client's gag reflex may not be intact, ice chips or fluid would not be offered.
There is no restriction on turning the head after bronchoscopy.
Medicated lozenges would not be suggested because they may numb the throat, further
decreasing the gag reflex.
After a client has had bronchoscopy, which finding indicates that the client's gag reflex has
returned?
alert and oriented
able to swallow saliva
speaks without difficulty
denies sore throat - answer✔✔able to swallow saliva
The ability to swallow indicates that the gag reflex is intact. Clients may be alert and still have a
diminished gag reflex, especially if a topical anesthetic was used to numb the throat. Clients may
be able to speak and still have a decreased gag reflex. Because bronchoscopy does cause trauma
to the structures in the pharynx, a client who denies a sore throat may have ongoing numbness of
the throat and a decreased gag reflex
Which rationale would the nurse use when teaching a client with chronic obstructive pulmonary
disease (COPD) to use pursed-lip breathing?
decrease air trapping
prevent bronchial dilation
strengthen intercostal muscles
reduce diaphragmatic excursion - answer✔✔decrease air trapping
Pursed-lip breathing prolongs the expiratory phase and increases airway positive pressure,
leading to more complete expiration and reduced air trapping.
Bronchi and bronchioles stay open longer and are expanded during pursed-lip breathing.
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